Individual provider · Type 1 NPI
Grace Christianne Manuela Wallace, WHNP
Women's Health Nurse Practitioner · Fort Lauderdale, FL
NPI number
1033046248
Active
Practice location
1600 W Commercial Blvd
Fort Lauderdale, FL 33309-3006
Mailing address
207 Varsity Cir
Altamonte Springs, FL 32714-2835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | APRN11047255 (FL) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1033046248
Grace Christianne Manuela Wallace, WHNP's National Provider Identifier is 1033046248, issued on May 4, 2026. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 4, 2026.